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Home
About Us
About Us
Our Team
Success Stories
Care Quality Commission
Services
Service Outline
Day-to-Day Support
Local Support
Help to Manage your Funding
iCareBuddy
Our Charges
Personal Budgets/Direct Payments
Personal Budgets & Direct Payments
Personal Health Budgets
Benefits of a Personal Budget & Direct Payments
Self Funders
Find services and activities in your area
Direct Payments to Continuing Health Care
Integrating Health & Social Care
Choose your own PAs
Choosing a Personal Assistant
Helping you recruit
Training your Personal Assistants
Benefits for your Personal Assistants
Who Works With Us
Local Authorities
Clinical Commissioning Groups
Case Managers
Solicitors
Working in partnership with us
Easy Read
About HomeCareDirect
Independent Living
Jobs
Personal Assistant Vacancies
Head Office Vacancies
Community Nurses – Employed
Policies
Gender Pay Reporting Policy and Procedure
News
Coronavirus Updates
Guidance on PPE in Social Care – Jul 21
Coronavirus Vaccine Information
Coronavirus Testing Information
Latest Coronavirus Information – Please Read!
MCA & DOLs – Covid Update
Download New Workforce App
Hand Sanitiser Safety Notice
Useful Documents to Download
Positive Client Updates
Contact
Head Office Extension Numbers
Tell us about you
Visit Request Form
Please complete this request form with as much information as possible.
Once completed, this form will be sent to the Field Services Planner who will respond to your request in due course.
Nurse
*
Rhona MacLean
Lynn Hatcher
Kaileigh Shaw
Vicki Watson
Mark Gray
Daniel Bradshaw
Penny Johnson
Jennifer Hughes
Julie Le-Pine
Most Appropriate
Requestor:
*
Client name and address:
*
Venue/s for visit:
*
Specific requirements - dates, days or times:
*
e.g Saturday visits, Mondays after 3pm, between 14th – 28th July
Does the client need to be present?
*
Yes
No
Other (please give full information below)
Other information:
Purpose of visit (please tick all that apply):
*
Meet and Greet
First Visit
Second Visit
Third Visit
Induction
Personal Assistant Training
Personal Assistant Supervision
Client Review
Other (please give full information below)
Other information:
*
Tasks to be undertaken:
*
e.g Supervision for 4 PA’s, 3 RA’s to be redone
Is any equipment required to complete training?
*
Please give full details.
Approx length of visit:
*
People attending visit:
*
Please include names of client, personal assistant, Independent Living Nurse and any other people attending
Any other information
*
e.g client allergic to perfume, must be female CNA, etc.
Please attach any supporting documentation you have here:
Drop files here or
If you would like a copy of the form sent to your email address, please enter it here:
If you would like a copy of the form sent to another persons email address, please enter it here:
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